Cross-cultural adaptation and validation of Sarcopenia and Quality of Life (SarQoL) in Brazil

Authors

Keywords:

Sarcopenia, agea, Validation study, Quality of life, Translations

Abstract

BACKGROUND: Sarcopenia is defined as a slow, progressive, and apparently inevitable process of involuntary loss of muscle mass, strength, and quality, which occurs with advancing age. It is widely accepted that sarcopenia can directly affect quality of life. OBJECTIVE: Translate, adapt and validate the “Sarcopenia and Quality of Life” instrument (SarQoL) to the Brazilian context. DESIGN AND SETTINGS: Translation, cross-cultural adaptation, and validation study carried out at the Federal University of São Carlos, São Carlos, São Paulo, Brazil. METHODS: The population consisted of 221 older adult participants. The steps recommended by the guidelines from the authors of the original instrument were followed sequentially: initial translation, synthesis of translations, backward translation, evaluation by a panel of judges, pre-test, and analysis of psychometric properties. The translation and adaptation process was conducted as recommended. RESULTS: Two hundred and twenty-one participants took part in the step analysis of the psychometric properties of SarQoL, in which 55 presented sarcopenia. Cronbach’s alpha coefficient of the total SarQoL questionnaire was 0.976, indicating excellent internal consistency. Excellent agreements between the test and retest with an Interclass Correlation Coefficient (ICC) of 0.983 (95% confidence interval: 0.901–0.996) were observed in the SarQoL domains. The domains of Short-Form 36 and EuroQoL 5-dimension showed significant correlation, from moderate to strong magnitude, with SarQoL total score, indicating convergent validity. CONCLUSION: The Brazilian version of SarQoL presented evidence of reliability and validity.

Downloads

Download data is not yet available.

Author Biographies

Fabiana de Souza Orlandi, Universidade Federal de São Carlos

PhD. Associate Professor, Department of Gerontology, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil.

Juliana Duarte Nunes, Universidade Federal de São Carlos

MD, MSc. Gerontologist, Department of Gerontology, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil.

Diana Gabriela Mendes dos Santos, Universidade Federal de São Carlos

MD, MSc. Gerontologist, Department of Gerontology, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil.

Aline Cristina Martins Gratão, Universidade Federal de São Carlos

PhD, Adjunct Professor, Department of Gerontology, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil.

Marisa Silvana Zazzetta, Universidade Federal de São Carlos

PhD, Associate Professor, Department of Gerontology, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil.

References

Instituto Brasileiro de Geografia e Estatística (IBGE). Estudos & Pesquisas. Informação demográfica e socioeconômica número 29. Síntese de indicadores sociais: uma análise das condições de vida da população brasileira. Rio de Janeiro: IBGE; 2012. Available from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv62715.pdf. Accessed in 2022 (Apr 8).

Diz JB, Leopoldino AA, Moreira BS, et al. Prevalence of sarcopenia in older Brazilians: A systematic review and meta-analysis. Geriatr Gerontol Int. 2017;17(1):5-16. PMID: 26799062; https://doi.org/10.1111/ggi.12720.

Pana A, Sourtzi P, Kalokairinou A, Velonaki VS. Sarcopenia and polypharmacy among older adults: A scoping review of the literature. Arch Gerontol Geriatr. 2022;98:104520. PMID: 34619629; https://doi.org/10.1016/j.archger.2021.104520.

Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412-23. PMID: 20392703; https://doi.org/10.1093/ageing/afq034.

Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31. Erratum in: Age Ageing. 2019;48(4):601. PMID: 30312372; https://doi.org/10.1093/ageing/afy169.

Trombetti A, Reid KF, Hars M, et al. Age-associated declines in muscle mass, strength, power, and physical performance: impact on fear of falling and quality of life. Osteoporos Int. 2016;27(2):463-71. PMID: 26194491; https://doi.org/10.1007/s00198-015-3236-5.

Go SW, Cha YH, Lee JA, Park HS. Association between Sarcopenia, Bone Density, and Health-Related Quality of Life in Korean Men. Korean J Fam Med. 2013;34(4):281-8. PMID: 23904958; https://doi.org/10.4082/kjfm.2013.34.4.281.

Rizzoli R, Reginster JY, Arnal JF, et al. Quality of life in sarcopenia and frailty. Calcif Tissue Int. 2013;93(2):101-20. PMID: 23828275; https://doi.org/10.1007/s00223-013-9758-y.

Dam TT, Peters KW, Fragala M, et al. An evidence-based comparison of operational criteria for the presence of sarcopenia. J Gerontol A Biol Sci Med Sci. 2014;69(5):584-90. PMID: 24737561; https://doi.org/10.1093/gerona/glu013.

Landi F, Cruz-Jentoft AJ, Liperoti R, et al. Sarcopenia and mortality risk in frail older persons aged 80 years and older: results from ilSIRENTE study. Age Ageing. 2013;42(2):203-9. PMID: 23321202; https://doi.org/10.1093/ageing/afs194.

Beaudart C, Biver E, Reginster JY, et al. Development of a self-administrated quality of life questionnaire for sarcopenia in elderly subjects: the SarQoL. Age Ageing. 2015;44(6):960-6. PMID: 26433796; https://doi.org/10.1093/ageing/afv133.

Beaudart C, Reginster JY, Geerinck A, Locquet M, Bruyère O. Current review of the SarQoL®: a health-related quality of life questionnaire specific to sarcopenia. Expert Rev Pharmacoecon Outcomes Res. 2017;17(4):335-41. PMID: 28749192; https://doi.org/10.1080/14737167.2017.1360768.

Alexandre TS, Duarte YA, Santos JL, Wong R, Lebrão ML. Sarcopenia according to the European Working Group on Sarcopenia in Older People (EWGSOP) versus dynapenia as a risk factor for mortality in the elderly. J Nutr Health Aging. 2014;18(8):751-6. PMID: 25286455; https://doi.org/10.1007/s12603-014-0540-2.

Beaudart C, Edwards M, Moss C, et al. English translation and validation of the SarQoL®, a quality of life questionnaire specific for sarcopenia. Age Ageing. 2017;46(2):271-6. PMID: 27789428; https://doi.org/10.1093/ageing/afw192.

Alexandre TS, Duarte YAO, Santos JLF, Lebrão ML. Prevalence and associated factors of sarcopenia, dynapenia, and sarcodynapenia in community-dwelling elderly in São Paulo - SABE Study. Rev Bras Epidemiol. 2019;21Suppl 02(Suppl 02):e180009. PMID: 30726354; https://doi.org/10.1590/1980-549720180009.supl.2.

Fábrega-Cuadros R, Martínez-Amat A, Cruz-Díaz D, Aibar-Almazán A, Hita-Contreras F. Psychometric Properties of the Spanish Version of the Sarcopenia and Quality of Life, a Quality of Life Questionnaire Specific for Sarcopenia. Calcif Tissue Int. 2020;106(3):274-82. PMID: 31781790; https://doi.org/10.1007/s00223-019-00635-9.

Sun S, Lee H, Yim HW, Won HS, Ko YH. The impact of sarcopenia on health-related quality of life in elderly people: Korean National Health and Nutrition Examination Survey. Korean J Intern Med. 2019;34(4):877-PMID: 29172406; https://doi.org/10.3904/kjim.2017.182.

Gasparik AI, Mihai G, Pașcanu IM. Romanian Translation and Cross-Cultural Adaptation of the SarQoL Questionnaire. Acta Marisiensis - Seria Medica. 2016;62(3):384-5. https://doi.org/10.1515/amma-2016-0036.

Gasparik AI, Mihai G, Beaudart C, et al. Psychometric performance of the Romanian version of the SarQoL®, a health-related quality of life questionnaire for sarcopenia. Arch Osteoporos. 2017;12(1):103. Erratum in: Arch Osteoporos. 2018;13(1):98. PMID: 29139012; https://doi.org/10.1007/s11657-017-0397-1.

Erdogan T, Eris S, Avci S, et al. Sarcopenia quality-of-life questionnaire (SarQoL)®: translation, cross-cultural adaptation and validation in Turkish. Aging Clin Exp Res. 2021;33(11):2979-88. PMID: 33538991; https://doi.org/10.1007/s40520-020-01780-0.

Geerinck A, Scheppers A, Beaudart C, et al. Translation and validation of the Dutch SarQoL®, a quality of life questionnaire specific to sarcopenia. J Musculoskelet Neuronal Interact. 2018;18(4):463-72. PMID: 30511950.

Downloads

Published

2023-01-05

How to Cite

1.
Orlandi F de S, Nunes JD, Santos DGM dos, Gratão ACM, Zazzetta MS. Cross-cultural adaptation and validation of Sarcopenia and Quality of Life (SarQoL) in Brazil. Sao Paulo Med J [Internet]. 2023 Jan. 5 [cited 2025 Mar. 14];141(1):30-5. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/367

Issue

Section

Original Article